ABSTRACT
Introduction: The treatment of COVID-19 is still challenge. So convalescent plasma can be an important alternative of treatment. Protocols with nursing care during infusion is very important to guide an effective and safety care. Objective: to analyze the evidence in the literature on the action of convalescent plasma, of the use of protocols with nursing care to use convalescent plasma and build a nursing care protocol for transfusion in patients with COVID-19. Methods: Methodological study carried out in two stages: scoping review. The search was done using the descriptors: convalescent plasma transfusion, convalescent plasma, and acute respiratory syndromes or COVID-19, to found protocols and effectiveness of convalescent plasm. Beside was done a specialist panel to build the protocol. Results: Low-evidence studies have shown improvement in the clinical signs of COVID-19 using Convalescent Plasma, reduction or elimination of viral load, benefits in the production of lymphocytes, decreases C-reactive protein, increases titers of anti-SARS-CoV-2 antibodies, positive evolution in lung involvement identified by X-rays, decrease in hospitalization. No studies were found in the databases on the protocol for clinical nursing care in plasma transfusion. Therefore, a protocol was developed with the description of clinical nursing care to be performed before, during and after the transfusion by plasma: checking of vital signs and indicative signs of transfusion reaction, measurement of oxygen saturation, assessment of venous access and checking of the level of consciousness. Conclusion: There are no evidence studies to support the use of plasma, nor anything related to bundles.
ABSTRACT
Introducción: el riesgo de contaminación de los profesionales implicados en el cuidado de pacientes con tuberculosis revelan la enfermedad presentada en el entorno intra-hospitalario. Objetivos: determinar la prevalencia de casos de tuberculosis en profesionales de un hospital universitario en la ciudad de Rio de Janeiro y analizar el perfil epidemiológico de los casos reportados. Métodos: análisis retrospectivo de casos secundarios de tuberculosis notificados entre 2007 y 2011. Proyecto aprobado por el comité de ética de la investigación en el marco del registro CAAE: 05916912.6.0000.5285. Para el análisis de datos elegido por la frecuencia simple y estadísticas de identificación. Resultados: la prevalencia de la tuberculosis en el hospital fue mayor en la categoría otros profesionales afines, hombres (57,1 por ciento) y caucásicos (71,4 por ciento). Conclusiones: los resultados apuntaron a la necesidad de incorporar las normas de bioseguridad recomendadas por el programa de control de la tuberculosis en los servicios de salud(AU)
Introduction: the risk of contamination in professionals involved in the care of patients with tuberculosis reveal the presence of disease in the intra-hospital environment. Objective: to identify the prevalence of reported cases of tuberculosis in professionals in a university hospital in the city of Rio de Janeiro and analyze the epidemiological profile of cases reported. Methods: retrospective analysis of secondary cases of tuberculosis reported between 2007 and 2011. Project approved by the research ethics committee under the CAAE registration: 05916912.6.0000.5285. Methodos: For data analysis chosen by the simple frequency and identification statistics. Results: the prevalence of tuberculosis in hospital was higher in the category other related professionals (health aides and maintenance of servers), males (57.1 percent) and Caucasians (71.4 percent). Conclusions: the results pointed to the need to incorporate the biosafety norms recommended by the TB control program in health services(AU)
